Mccormick, Brian Gerald

Mccormick, Brian Gerald is an individual health care provider with primary practice located at 4600 College Blvd Ste 103 , Overland Park KS 66211-1606. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Emergency. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Mccormick, Brian Gerald can be contacted via phone (913) 215-5008.

Contact Information

Primary practice address
4600 College Blvd Ste 103 Overland Park KS 66211-1606
Phone: (913) 215-5008
Fax: (913) 297-1202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 78736 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2019015044 Missouri
Nursing Service Providers / Emergency 163WE0003X 2013031549 Missouri
Nursing Service Providers / Emergency 163WE0003X 14-133095-111 Kansas

Profile Details

NPI number 1942781158
LBN Legal business name Mccormick, Brian Gerald
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2018
Last updated Mar 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942781158 NPPES
Kansas Other K02-98-0483 STATE DRIVER'S LICENSE
Kansas Other 2013031549 STATE DRIVER'S LICENSE

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